Laboratory investigations (Table 1) revealed an elevated white blood cell count (32.98x103/μL), combined anion-gap and non-anion gap metabolic acidosis (arterial pH 7.34, anion gap 18, bicarbonate 10.4 mmol/L, lactic acid of 7.5 mmol/L), acute kidney injury (creatinine 2.3 mg/dL), rhabdomyolysis (creatinine kinase 1364 U/L), and acute liver injury (aspartate aminotransferase (AST) 3,902 U/L, alanine aminotransferase (ALT) 1,234 U/L). The gene discussed is GPT; the disease is acute kidney injury.